Effects of psychological therapy on pain behavior of rheumatoid arthritis patients. treatment outcome and six-month followup

Authors

  • Laurence A. Bradley PhD,

    Corresponding author
    1. Sections on Medical Psychology and Rheumatology and the Center for Preventive Medicine and Biometry, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina.
    • Section on Medical Psychology, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, NC 27103
    Search for more papers by this author
  • Larry D. Young PhD,

    1. Sections on Medical Psychology and Rheumatology and the Center for Preventive Medicine and Biometry, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina.
    Search for more papers by this author
  • Karen O. Anderson PhD,

    1. Sections on Medical Psychology and Rheumatology and the Center for Preventive Medicine and Biometry, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina.
    Search for more papers by this author
  • Robert A. Turner MD,

    1. Sections on Medical Psychology and Rheumatology and the Center for Preventive Medicine and Biometry, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina.
    Search for more papers by this author
  • Carlos A. Agudelo MD,

    1. Sections on Medical Psychology and Rheumatology and the Center for Preventive Medicine and Biometry, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina.
    Search for more papers by this author
  • Lisa K. Mcdaniel MA,

    1. Sections on Medical Psychology and Rheumatology and the Center for Preventive Medicine and Biometry, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina.
    Search for more papers by this author
  • Edward J. Pisko MD,

    1. Sections on Medical Psychology and Rheumatology and the Center for Preventive Medicine and Biometry, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina.
    Search for more papers by this author
  • Elliott L. Semble MD,

    1. Sections on Medical Psychology and Rheumatology and the Center for Preventive Medicine and Biometry, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina.
    Search for more papers by this author
  • Timothy M. Morgan PhD

    1. Sections on Medical Psychology and Rheumatology and the Center for Preventive Medicine and Biometry, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina.
    Search for more papers by this author

Abstract

A randomized clinical trial was performed to evaluate a psychological treatment intervention and a social support program, compared with a control program in which no adjunct treatment was rendered, and their effects upon pain behavior, affect, and disease activity of 53 patients with rheumatoid arthritis. The psychological intervention produced significant reductions in patients' pain behavior and disease activity at posttreatment. Significant reductions were also observed in trait anxiety at posttreatment and 6-month followup. Relaxation training may have been the most important component of the psychological intervention. The social support program produced a significant reduction in trait anxiety only at posttreatment. This is the first well-controlled study to demonstrate reduced pain behavior, disease activity, and trait anxiety following psychological treatment.

Ancillary